| Trump Takes Aim at Public Health Last week Donald Trump was inaugurated for his second term. And this one is shaping up to be just as disruptive as his first for the health and research world. On January 20 Trump signed an executive order announcing he will withdraw the U.S. from the World Health Organization—the premier source for handling global disease outbreaks and promoting health care access. He tried to withdraw during his first term, but the process requires a year’s notice, so Biden blocked it. This time, the withdrawal is likely to go through. The WHO has faced its share of criticism for how it handled the COVID pandemic and the fact that it lacks powers of enforcement. But the U.S. withdrawal is bad news for the organization and its nearly 200 member countries, who rely on the U.S. for both funding and public health expertise. And it’s also bad for the U.S. because we will no longer have a seat at the table for important global health conversations—a gap China will likely fill. Also last week, the Trump administration froze all external communications from the Department of Health and Human Services, including the FDA and the CDC, at least through February 1. This means the CDC can’t release its weekly reports on disease outbreaks, for example, and the NIH—the country’s leading source of biomedical research funding—had to abruptly cancel meetings and grant reviews. It’s unclear how long the communications freeze will last, but it’s likely already impacting the government’s ability to get out timely health information, including about bird flu. Trump also signed a number of other executive orders defining biological sex as male or female, rolling back protections for transgender people, and reversing some of Biden’s attempts to lower drug prices for people on Medicare and Medicaid. And later this week, a confirmation hearing will be held for Robert F. Kennedy, Jr., Trump’s controversial pick for head of Health and Human Services. —Tanya Lewis |
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